GENERAL SURGICAL INNOVATIONS, INC.

                                 CONSULTING AGREEMENT

     This Consulting Agreement (the "AGREEMENT") is entered into by and 
between General Surgical Innovations, Inc. (the "COMPANY") and Roderick Young 
("CONSULTANT"), effective as of this 1st day of November, 1998 (the 
"Effective Date").

     1.   CONSULTING RELATIONSHIP.  Beginning on the Effective Date and 
during the term of this agreement, Consultant will provide consulting 
services (the "SERVICES") to the Company as described on EXHIBIT A attached 
to this Agreement. Consultant shall use Consultant's best efforts to perform 
the Services in a manner satisfactory to the Company.

     2.   FEES; SUPPORT.  As consideration for the Services to be provided by 
Consultant and other obligations, the Company will compensate Consultant as 
described in EXHIBIT B to this Agreement.  As additional consideration for 
the Services, the Company will provide Consultant with such support 
facilities and space as may be required in the Company's judgment to enable 
Consultant to properly perform the Services.

     3.   EXPENSES.  Consultant shall not be authorized to incur on behalf of 
the Company any expenses, except in compliance with the Company's policies 
without the prior written consent of the Company's Chief Financial Officer.  
As a condition to receipt of reimbursement, Consultant shall be required to 
submit to the Company reasonable evidence that the amount involved was 
expended and related to Services provided under this Agreement.

     4.   TERM AND TERMINATION.  Consultant shall serve as a consultant to 
the Company for a period commencing on the Effective Date and terminating on 
the earlier of: (i) April 1, 1999, (ii) the date Consultant begins rendering 
services as an employee or consultant in excess of thirty hours per week to 
any person or entity other than the Company, or (iii) Consultant's 
termination of this Agreement at any time upon ten (10) days' written notice 
to the Company (which date shall be the "TERMINATION DATE").

     5.   INDEPENDENT CONTRACTOR.  Consultant's relationship with the Company 
will be that of an independent contractor and not that of an employee. 
Consultant will not be eligible for any employee benefits, nor will the 
Company make deductions from payments made to Consultant for taxes, all of 
which will be Consultant's responsibility.  Consultant agrees to indemnify 
and hold the Company harmless from any liability for, or assessment of, any 
such taxes imposed on the Company by relevant taxing authorities.  Consultant 
will have no authority to enter into contracts that bind the Company or 
create obligations on the part of the Company without the prior written 
authorization of the Company.

     6.   SUPERVISION OF CONSULTANT'S SERVICES.  All services to be performed 
by Consultant, including but not limited to the Services, will be as agreed 
between Consultant and the Company's Chief Executive Officer.  Consultant 
will be required to report to the Chief



Executive Officer concerning the Services performed under this Agreement.  
The nature and frequency of these reports will be left to the discretion of 
the Chief Executive Officer.

     7.   CONSULTING OR OTHER SERVICES FOR COMPETITORS.  Consultant 
represents and warrants that Consultant will not, during the term of this 
Agreement, perform any consulting or other services for any company, person 
or entity whose business or proposed business in any way involves products or 
services which could reasonably be determined to be competitive with the 
products or services or proposed products or services of the Company.

     8.   CONFIDENTIALITY AGREEMENT.  Consultant has signed a Confidential 
Information and Invention Assignment Agreement substantially in the form 
attached to this Agreement as EXHIBIT C (the "CONFIDENTIALITY AGREEMENT"), 
prior to the date hereof.
     
     9.   CONFLICTS WITH THIS AGREEMENT.  Consultant represents and warrants 
that Consultant is not under any pre-existing obligation in conflict or in 
any way inconsistent with the provisions of this Agreement.  Consultant 
warrants that Consultant has the right to disclose or use all ideas, 
processes, techniques and other information, if any, which Consultant has 
gained from third parties, and which Consultant discloses to the Company in 
the course of performance of this Agreement, without liability to such third 
parties.  Consultant represents and warrants that Consultant has not granted 
any rights or licenses to any intellectual property or technology that would 
conflict with Consultant's obligations under this Agreement.  Consultant will 
not knowingly infringe upon any copyright, patent, trade secret or other 
property right of any former client, employer or third party in the 
performance of the services required by this Agreement.
     
     10.  STOCK VESTING.  As of the date hereof, Consultant owns options to 
purchase an aggregate of 159,817 shares of Common Stock of the Company.  Such 
options shall continue to vest in accordance with their vesting schedules on 
EXHIBIT D until the Termination Date, PROVIDED, HOWEVER, that if Consultant 
terminates this Agreement pursuant to subsection 4(iii) Consultant will not 
be eligible to exercise any options that were repriced in October, 1998.
     
     11.  MISCELLANEOUS.

          (a)  AMENDMENTS AND WAIVERS.  Any term of this Agreement may be 
amended or waived only with the written consent of the parties.

          (b)  SOLE AGREEMENT.  This Agreement, including the Exhibits 
hereto, constitutes the sole agreement of the parties and supersedes all oral 
negotiations and prior writings with respect to the subject matter hereof.  
The parties hereby agree and acknowledge that the Change of Control Agreement 
between the Company and Consultant dated January 20, 1998 is hereby 
terminated as of the Effective Date.  The parties hereby agree and 
acknowledge that the offer letter between the Company and Consultant is 
hereby terminated as of the Effective Date.

          (c)  NOTICES.  Any notice required or permitted by this Agreement 
shall be in writing and shall be deemed sufficient upon receipt, when 
delivered personally or by courier,

                                      -2-


overnight delivery service or confirmed facsimile, or forty-eight (48) hours 
after being deposited in the regular mail as certified or registered mail 
(airmail if sent internationally) with postage prepaid, if such notice is 
addressed to the party to be notified at such party's address or facsimile 
number as set forth below, or as subsequently modified by written notice.

          (d)  CHOICE OF LAW.  The validity, interpretation, construction and 
performance of this Agreement shall be governed by the laws of the State of 
California, without giving effect to the principles of conflict of laws.

          (e)  SEVERABILITY.  If one or more provisions of this Agreement are 
held to be unenforceable under applicable law, the parties agree to 
renegotiate such provision in good faith.  In the event that the parties 
cannot reach a mutually agreeable and enforceable replacement for such 
provision, then (i) such provision shall be excluded from this Agreement, 
(ii) the balance of the Agreement shall be interpreted as if such provision 
were so excluded and (iii) the balance of the Agreement shall be enforceable 
in accordance with its terms.

          (f)  COUNTERPARTS.  This Agreement may be executed in counterparts, 
each of which shall be deemed an original, but all of which together will 
constitute one and the same instrument.

          (g)  ARBITRATION.   Any dispute or claim arising out of or in 
connection with any provision of this Agreement, excluding Section 7 hereof, 
will be finally settled by binding arbitration in Santa Clara County, 
California in accordance with the rules of the American Arbitration 
Association by one arbitrator appointed in accordance with said rules.  The 
arbitrator shall apply California law, without reference to rules of 
conflicts of law or rules of statutory arbitration, to the resolution of any 
dispute.  Judgment on the award rendered by the arbitrator may be entered in 
any court having jurisdiction thereof.  Notwithstanding the foregoing, the 
parties may apply to any court of competent jurisdiction for preliminary or 
interim equitable relief, or to compel arbitration in accordance with this 
paragraph, without breach of this arbitration provision.  This Section 11(g) 
shall not apply to the Confidentiality Agreement.

          (h)  ADVICE OF COUNSEL.  EACH PARTY ACKNOWLEDGES THAT, IN EXECUTING 
THIS AGREEMENT, SUCH PARTY HAS HAD THE OPPORTUNITY TO SEEK THE ADVICE OF 
INDEPENDENT LEGAL COUNSEL, AND HAS READ AND UNDERSTOOD ALL OF THE TERMS AND 
PROVISIONS OF THIS AGREEMENT.  THIS AGREEMENT SHALL NOT BE CONSTRUED AGAINST 
ANY PARTY BY REASON OF THE DRAFTING OR PREPARATION HEREOF.

                                      -3-


The parties have executed this Agreement on the respective dates set forth
below.

                                        GENERAL SURGICAL INNOVATIONS, INC.


                                        By: /s/ Gregory Casciaro
                                            ------------------------------

                                          Name: Gregory Casciaro
                                               ---------------------------

                                          Title: Chief Executive Officer
                                                 -------------------------

                                        10460 Bubb Road
                                        Cupertino, CA  95014

                                        Date: November 13, 1998
                                              ----------------------------


                                        RODERICK YOUNG

                                        /s/ Roderick Young
                                        ----------------------------------
                                        Signature

                                        Address: 679 Mirada Avenue
                                                 Stanford, CA 94305
                                                 -------------------------

                                        Date: November 12, 1998
                                              ----------------------------


SIGNATURE PAGE TO GENERAL SURGICAL INNOVATIONS, INC. CONSULTING AGREEMENT



                                  EXHIBIT A

                     DESCRIPTION OF CONSULTING SERVICES


     Consulting to the Chief Executive Officer and the Board of Directors 
with regard to strategic business considerations, with specific projects to 
be as mutually determined by the Consultant and the Chief Executive Officer. 



                                  EXHIBIT B

                                COMPENSATION

     Consultant shall be paid the following monthly fees payable in 
accordance with the Company's normal payroll policies:


                                              
                     November 1998               $10,000
                     December 1998               $10,000
                     January 1998                $10,000
                     February 1998                $5,000
                     March 1998                   $5,000